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Dr. Stanley Eziukwu , MD

Pediatrics β€’ Lima, OH

Active NPI 1669901450 Individual Practitioner Male Practitioner
Practice location in NPPES

1001 Bellefontaine Ave
Lima, OH 458042800

Call 4192283335 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1001 Bellefontaine Ave

Lima, OH 458042800

Telephone 4192283335
Organization at the Same NPPES Address or Phone
Lima Memorial Joint Operating Company Facility NPI 1336144732

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Athens, OH; Lancaster, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $28.00 in 2019

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2019.

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Eziukwu has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Eziukwu as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lima and Ohio

16 active clinicians are listed under Pediatrics with a practice address in Lima, OH (2,972 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lima

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $28.00.

Manufacturer Payment Nature Product Type Amount ($)
TESARO, Inc.
Food and Beverage
In-kind items and services
ZEJULA General $28.00

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 35.141450

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES OH 35.141450

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0444619 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20241223000462

Enrollment State Jurisdiction

IL

PECOS Control ID

9537437124

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

75 Hospital Dr Ste 350

Athens, OH 457012867

Phone: 7405927040

401 N Ewing St

Lancaster, OH 431303372

Phone: 7406876907

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

38 listed
Lindsey Babcock

Nurse Anesthetist, Certified Registered

NPI 1942981246
Dr. David Bafford , DO

Emergency Medicine

NPI 1497798151

Doctor of Osteopathic Medicine (D.O.)

Dr. Patricia Bauza , MD

Psychiatry & Neurology - Psychiatry

NPI 1588864847

Doctor of Medicine (M.D.)

NPI 1750570958

Doctor of Medicine (M.D.)

Nicole Bostic , CRNA

Nurse Anesthetist, Certified Registered

NPI 1538430939

Certified Registered Nurse Anesthetist

Michael Cotrell , CRNA

Nurse Anesthetist, Certified Registered

NPI 1285180125

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

22 Historical Events
πŸ“
Updated Practice Location August 09, 2023

Registered at 1001 BELLEFONTAINE AVE, LIMA, OH 458042800 (Tel: 4192283335)

πŸ“
Updated Business Mailing Address August 09, 2023

Registered at 1001 BELLEFONTAINE AVE, LIMA, OH 458042800 (Tel: 4192283335)

πŸ“
Updated Practice Location March 09, 2022

Registered at 75 HOSPITAL DR STE 350, ATHENS, OH 457012867 (Tel: 7405927040)

πŸ“
Updated Practice Location July 07, 2021

Registered at 24 W GREEN DR STE 329, ATHENS, OH 457012974 (Tel: 7405927040)

πŸ“
Updated Business Mailing Address July 07, 2021

Registered at PO BOX 7527, DUBLIN, OH 430170727

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2021

Pediatrics (license number reported to NPPES: OH 35.141450)

πŸ“
Updated Practice Location June 28, 2018

Registered at 3535 S JEFFERSON AVE STE 104, SAINT LOUIS, MO 63118 (Tel: 3144491143)

πŸ“
Updated Business Mailing Address June 28, 2018

Registered at 4802 10TH AVE, BROOKLYN, NY 112192916

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2018

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active December 29, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 29, 2017

Registered at 3535 S JEFFERSON AVE STE 104, SAINT LOUIS, MO 631183907 (Tel: 3144491143)

πŸ“
Updated Business Mailing Address December 29, 2017

Registered at 3535 S JEFFERSON, SAINT LOUIS, MO 63118

πŸ‘€
Provider Name / Credentials Updated December 29, 2017

Recorded as STANLEY EZIUKWU, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2017

General Practice (license number reported to NPPES: MO 2017011416)

πŸ“
Updated Business Mailing Address November 30, 2017

Registered at 3535 S JEFFERSON, SAINT LOUIS, MO 63118

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2017

Physician Assistant

βœ…
NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 06, 2017

Registered at 3535 S JEFFERSON AVE STE 104, SAINT LOUIS, MO 631183907 (Tel: 3144491143)

πŸ“
Business Mailing Address (Initial Record) June 06, 2017

Registered at 4527 WASHINGTON BLVD, SAINT LOUIS, MO 631081822 (Tel: 4699528163)

πŸ‘€
Provider Name / Credentials (Initial Record) June 06, 2017

Recorded as STANLEY EZIUKWU, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Physician Assistant (license number reported to NPPES: MO 2017011416)

🟒
Initial NPI Registration & Enumeration June 06, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669901450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2017
Last Update: October 23, 2023
Sole Proprietor: No

Mailing Address

1001 Bellefontaine Ave

Lima, OH 458042800

Phone: 4192283335

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.